Cultural context in medical ethics: lessons from Japan

This paper examines two topics in Japanese medical ethics: non-disclosure of medical information by Japanese physicians, and the history of human rights abuses by Japanese physicians during World War II. These contrasting issues show how culture shapes our view of ethically appropriate behavior in medicine. An understanding of cultural context reveals that certain practices, such as withholding diagnostic information from patients, may represent ethical behavior in that context. In contrast, nonconsensual human experimentation designed to harm the patient is inherently unethical irrespective of cultural context. Attempts to define moral consensus in bioethics, and to distinguish between acceptable and unacceptable variation across different cultural contexts, remain central challenges in articulating international, culturally sensitive norms in medical ethics.     

It's the thought that counts: specific brain regions for one component of theory of mind

Evidence from developmental psychology suggests that representing the contents of other people's thoughts and beliefs depends on a component of reasoning about other minds (theory of mind) that is distinct from the earlier-developing mental-state concepts for goals, perceptions, and feelings. To provide converging evidence, the current study investigated the substrate of the late-developing process in adult brains. Three regions--the right and left temporo-parietal junction and the posterior cingulate--responded selectively when subjects read about a protagonist's thoughts, but not when they read about other subjective, internal states or other socially relevant information about a person. By contrast, the medial prefrontal cortex responded equivalently in all of these story conditions, a result consistent with a broader role for medial prefrontal cortex in general social cognition. These data support the hypothesis that the early- and late-developing components of theory of mind rely on separate psychological and neural mechanisms, and that these mechanisms remain distinct into adulthood.     

Explaining sex differences in managerial career satisfier preferences: the role of gender self-schema

Using survey data from 400 managers, the authors examined whether gender self-schema would explain sex differences in preferences for status-based and socioemotional career satisfiers. Female gender self-schema, represented by femininity and family role salience, completely mediated the relationship between managers' sex and preferences for socioemotional career satisfiers. However, male gender self-schema, represented by masculinity and career role salience, did not mediate the relationship between managers' sex and preferences for status-based career satisfiers. As expected, male managers regarded status-based career satisfiers as more important and socioemotional career satisfiers as less important than female managers did. The proposed conceptualization of male and female gender self-schemas, which was supported by the data, enhances understanding of adult self-schema and work-related attitudes and behavior.     

Psychometric Characteristics of the Multidimensional Scale of Perceived Social Support

The initial study describing the development of the Multidimensional Scale of Perceived Social Support (MSPSS) indicated that it was a psychometrically sound instrument (Zimet, Dahlem, Zimet, & FarIey, 1988). The current study attempted to extend the initial findings by demonstrating the internal reliability, factorial validity, and subscale validity of the MSPSS using three different subject groups: (a) 265 pregnant women, (b) 74 adolescents living in Europe with their families, and (c) 55 pediatric residents. The MSPSS was found to have good internal reliability across subject groups. In addition, strong factorial validity was demonstrated, confirming the three-subscale structure of the MSPSS: Family, Friends, and Significant Other. Finally, strong support was also found for the validity of the Family and Significant Other subscales.     

Interview anxiety across the sexes: Support for the sex-linked anxiety coping theory

The sex-linked anxiety coping theory states that females’ anxiety levels may be less detrimental to their selection test performance because they have more available coping resources and engage in more constructive coping strategies prior to and during selection tests. This research project sought to investigate whether gender moderates the link between interview anxiety and interview performance. Co-op students (N = 125) participated in a mock interview as part of a course requirement. The results indicated that gender moderated the relation between self-rated interview anxiety and interview performance. Males were no more anxious than were females, but experienced significantly greater impairments to performance in the job interview as a result of interview anxiety. Of interest, interviewer-rated interview anxiety did not interact with gender to predict interview performance, which supports preliminary research evidence that perceptions and the experience of interview anxiety are not necessarily congruent.